2024 MIPS Measures Relevant to Chiropractors

Quality - 30% of total score:  Report 6 measures, including one Outcome or other High Priority measure for 12 months on at least 70% of eligible encounters to receive a score against 2023 National Benchmarks. Suggestions for your specialty include, but are not limited to, the following:   

ID:
182
NQF:
eMeasure ID:
High Priority:
Yes

2024 MIPS Measure #182: Functional Outcome Assessment

Percentage of visits for patients aged 18 years and older with documentation of a current functional outcome assessment using a standardized functional outcome assessment tool on the date of the encounter AND documentation of a care plan based on identified functional outcome deficiencies within two days of the date of the identified deficiencies.

Measure Type
  • Process
Specifications
Specialty
  • Audiology
  • Chiropractic Medicine
  • Family Medicine
  • Nephrology
  • Orthopedic Surgery
  • Physical Medicine
  • Physical Therapy/Occupational Therapy
  • Preventive Medicine
  • Speech/Language Pathology
ID:
217
NQF:
eMeasure ID:
High Priority:
Yes

2024 MIPS Measure #217: Functional Status Change for Patients with Knee Impairments

A patient-reported outcome measure (PROM) of risk-adjusted change in functional status (FS) for patients 14 years+ with knee impairments. The change in FS is assessed using the FOTO Lower Extremity Physical Function (LEPF) PROM. The measure is adjusted to patient characteristics known to be associated with FS outcomes (risk adjusted) and used as a performance measure at the patient, individual clinician, and clinic levels to assess quality

Measure Type
  • Outcome
Specifications
Specialty
  • Chiropractic Medicine
  • Orthopedic Surgery
  • Physical Therapy/Occupational Therapy
ID:
218
NQF:
eMeasure ID:
High Priority:
Yes

2024 MIPS Measure #218: Functional Status Change for Patients with Hip Impairments

A patient-reported outcome measure (PROM) of risk-adjusted change in functional status (FS) for patients 14 years+ with hip impairments. The change in FS is assessed using the FOTO Lower Extremity Physical Function (LEPF) PROM. The measure is adjusted to patient characteristics known to be associated with FS outcomes (risk adjusted) and used as a performance measure at the patient, individual clinician, and clinic levels to assess quality.

Measure Type
  • Outcome
Specifications
Specialty
  • Chiropractic Medicine
  • Orthopedic Surgery
  • Physical Therapy/Occupational Therapy
ID:
219
NQF:
eMeasure ID:
High Priority:
Yes

2024 MIPS Measure #219: Functional Status Change for Patients with Lower Leg, Foot or Ankle Impairments

A patient-reported outcome measure (PROM) of risk-adjusted change in functional status (FS) for patients 14 years+ with foot, ankle or lower leg impairments. The change in FS is assessed using the FOTO Lower Extremity Physical Function (LEPF) PROM. The measure is adjusted to patient characteristics known to be associated with FS outcomes (risk adjusted) and used as a performance measure at the patient, individual clinician, and clinic levels to assess quality.

Measure Type
  • Outcome
Specifications
Specialty
  • Chiropractic Medicine
  • Orthopedic Surgery
  • Physical Therapy/Occupational Therapy
  • Podiatry
ID:
220
NQF:
eMeasure ID:
High Priority:
Yes

2024 MIPS Measure #220: Functional Status Change for Patients with Low Back Impairments

A patient-reported outcome measure (PROM) of risk-adjusted change in functional status (FS) for patients 14 years+ with low back impairments. The change in FS is assessed using the FOTO Low Back FS PROM. The measure is adjusted to patient characteristics known to be associated with FS outcomes (risk adjusted) and used as a performance measure at the patient, individual clinician, and clinic levels to assess quality.

Measure Type
  • Outcome
Specifications
Specialty
  • Chiropractic Medicine
  • Orthopedic Surgery
  • Physical Therapy/Occupational Therapy
ID:
221
NQF:
eMeasure ID:
High Priority:
Yes

2024 MIPS Measure #221: Functional Status Change for Patients with Shoulder Impairments

A patient-reported outcome measure (PROM) of risk-adjusted change in functional status (FS) for patients 14 years+ with shoulder impairments. The change in FS is assessed using the FOTO Shoulder FS PROM. The measure is adjusted to patient characteristics known to be associated with FS outcomes (risk adjusted) and used as a performance measure at the patient, individual clinician, and clinic levels to assess quality.

Measure Type
  • Outcome
Specifications
Specialty
  • Chiropractic Medicine
  • Orthopedic Surgery
  • Physical Therapy/Occupational Therapy
ID:
222
NQF:
eMeasure ID:
High Priority:
Yes

2024 MIPS Measure #222: Functional Status Change for Patients with Elbow, Wrist or Hand Impairments

A patient-reported outcome measure (PROM) of risk-adjusted change in functional status (FS) for patients 14 years+ with elbow, wrist, or hand impairments. The change in FS is assessed using the FOTO Elbow/Wrist/Hand FS PROM. The measure is adjusted to patient characteristics known to be associated with FS outcomes (risk adjusted) and used as a performance measure at the patient, individual clinician, and clinic levels to assess quality.

Measure Type
  • Outcome
Specifications
Specialty
  • Chiropractic Medicine
  • Orthopedic Surgery
  • Physical Therapy/Occupational Therapy
ID:
478
NQF:
eMeasure ID:
High Priority:
Yes

2024 MIPS Measure #478: Functional Status Change for Patients with Neck Impairments

A patient-reported outcome measure (PROM) of risk-adjusted change in functional status (FS) for patients 14 years+ with neck impairments. The change in FS is assessed using the FOTO Neck FS PROM. The measure is adjusted to patient characteristics known to be associated with FS outcomes (risk-adjusted) and used as a performance measure at the patient, individual clinician, and clinic levels to assess quality.

Measure Type
  • Outcome
Specifications
Specialty
  • Chiropractic Medicine
  • Orthopedic Surgery
  • Physical Therapy/Occupational Therapy
ID:
487
NQF:
eMeasure ID:
High Priority:
Yes

2024 MIPS Measure #487: Screening for Social Drivers of Health

Percent of patients 18 years and older screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety.

Measure Type
  • Process
Specifications
Specialty
  • Allergy/Immunology
  • Audiology
  • Cardiology
  • Certified Nurse Midwife
  • Chiropractic Medicine
  • Clinical Social Work
  • Dermatology
  • Emergency Medicine
  • Endocrinology
  • Family Medicine
  • Gastroenterology
  • General Surgery
  • Geriatrics
  • Infectious Disease
  • Internal Medicine
  • Interventional Radiology
  • Mental/Behavioral Health
  • Nephrology
  • Neurology
  • Neurosurgery
  • Nutrition/Dietician
  • Obstetrics/Gynecology
  • Oncology/Hematology
  • Ophthalmology
  • Orthopedic Surgery
  • Otolaryngology
  • Pediatrics
  • Physical Medicine
  • Physical Therapy/Occupational Therapy
  • Plastic Surgery
  • Podiatry
  • Preventive Medicine
  • Pulmonology
  • Rheumatology
  • Skilled Nursing Facility
  • Speech/Language Pathology
  • Thoracic Surgery
  • Urgent Care
  • Urology
  • Vascular Surgery
ID:
498
NQF:
eMeasure ID:
High Priority:
Yes

2024 MIPS Measure #498: Connection to Community Service Provider

Percent of patients 18 years or older who screen positive for one or more of the following health-related social needs (HRSNs): food insecurity, housing instability, transportation needs, utility help needs, or interpersonal safety; and had contact with a Community Service Provider (CSP) for at least one of their HRSNs within 60 days after screening.

Measure Type
  • Process
Specifications
Specialty
  • Allergy/Immunology
  • Audiology
  • Cardiology
  • Certified Nurse Midwife
  • Chiropractic Medicine
  • Clinical Social Work
  • Dermatology
  • Emergency Medicine
  • Endocrinology
  • Family Medicine
  • Gastroenterology
  • General Surgery
  • Geriatrics
  • Infectious Disease
  • Internal Medicine
  • Interventional Radiology
  • Mental/Behavioral Health
  • Nephrology
  • Neurology
  • Neurosurgery
  • Nutrition/Dietician
  • Obstetrics/Gynecology
  • Oncology/Hematology
  • Ophthalmology
  • Orthopedic Surgery
  • Otolaryngology
  • Pediatrics
  • Physical Medicine
  • Physical Therapy/Occupational Therapy
  • Plastic Surgery
  • Podiatry
  • Preventive Medicine
  • Pulmonology
  • Rheumatology
  • Skilled Nursing Facility
  • Speech/Language Pathology
  • Thoracic Surgery
  • Urgent Care
  • Urology
  • Vascular Surgery

 

  1. PI: Promoting Interoperability - 25% of total score: For a minimum of 90 days, report all required measures. EHR technology certified to the 2015 Cures Update must be in place by October 3, 2023. There are exclusions available for all of the measures, except PEA_1. Please check your QPP Participation Status to see if you are exempt from PI. If you are exempt, the 25% will be re-weighted to the Quality performance category making it 55% of your score.
  2. IA: Improvement Activities - 15% of total score:  Attest that you completed up to 2 high-weighted activities or 4 medium-weighted activities for a minimum of 90 days. Groups with 15 or fewer participants or if you are in a rural or health professional shortage area,  attest that you completed 1 high-weighted or 2 medium-weighted activities for a minimum of 90 days. A group can attest to an activity when at least 50% of the clinicians in the group perform the same activity during any continuous 90-day period (or as specified in the activity description) in the same performance year.   The following are suggestions that might be applicable to your specialty:

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